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More Vermont towns are turning to community nurses, offering free health care

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More Vermont towns are turning to community nurses, offering free health care


Every Wednesday, Sunny Martinson visits Richard Starr. He’s 80 years old and taught middle school woodshop for 40 years. He lives in Thetford, in a house he designed and largely built himself.

“There wasn’t a plan. I added and added and added — my wife added her contributions too,” Starr said.

Inside, the house is full of light. The walls are decorated with photographs Starr made, the ceiling has exposed wood rafters, and a spiral staircase leads upstairs.

“I’m happy to be here,” he said.

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These days, Starr sleeps on the first floor. His wife died a few years ago and it’s hard for him to get upstairs, where his computer is, or to the basement, where his workshop is.

He has issues with his memory and earlier this year, a home aid moved in. But they can’t provide medical care, so Martinson comes to help Starr with his medications.

She’s the community nurse for the town of Thetford. It’s a role she’s been in for a year, after retiring from working as a triage nurse at Dartmouth Hitchcock Medical Center.

More from Brave Little State: The long wait for primary care in Vermont

On a recent visit, she brought Starr the newspaper, with a list of community events. They talked about adding a railing to his staircase, and she looked at his blood pressure readings. She’s become a big part of his life.

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“Last fall his refrigerator broke, so I helped him get a new refrigerator. Or this driveway is impossible, and he didn’t even have anyone to plow it until January, he had no snow tires for the car,” she said. “So I mean I’m doing more than just filling the pill box.”

Lexi Krupp

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Vermont Public

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Sunny Martinson works with about 30 clients regularly. Some she sees every week, like Starr. For others, it’s less often. In the eight years since Thetford started its community nurse program, over 250 residents have called on the nurse.

And all this stuff she does for Starr — he doesn’t pay for it. That’s the case for all of her clients, and for anyone in the town of Thetford — working with Martinson is totally free.

The role is not meant to replace a doctor. But it helps fill in gaps our health care system just isn’t set up for.

“Right now the health care system is reactive. Something has to happen, and then you call 911, and then you go,” said Kristin Barnum, who runs a nonprofit called Community Nurse Connection. “But these community nurses are health coaches, health advocates, to prevent bad things from happening.”

“These community nurses are health coaches, health advocates, to prevent bad things from happening.”

Kristin Barnum, Community Nurse Connection

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The nonprofit is based in Lebanon, New Hampshire, and supports about a dozen community nurse programs in the region.

These all look a little different: In Thetford, Martinson works for a nonprofit, and the position is largely grant funded. In Tunbridge, the community nurse is a town employee, paid for with taxpayer dollars. And in Lyme, New Hampshire, the job is run through a church — it’s been that way for years.

These positions are mostly part time — they cost an average of $30,000 a year. But Barnum thinks this saves towns money in the long run by preventing unnecessary 911 calls and expensive trips to the hospital.

“It’s a very inexpensive way to take care and keep older adults safe and in their towns,” she said.

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A blood pressure cuff.

Lexi Krupp

/

Vermont Public

Community nurses can fill gaps in the health care system that the traditional health care system isn’t set up for. They often act as advocates for patients.

And more towns are looking to replicate this model, like in Strafford, where Sheila Keating started working as the town’s first community nurse last year.

“Having the liaison between community and healthcare is just so important,” said Keating, who’s been a nurse for 30 years. “I never realized how important until I actually started doing this job.”

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The towns of Hartford and Putney are in the middle of hiring for nurse positions, both new roles. A group in Windsor is planning a community nurse program, too.

And besides saving money in preventing emergency medical care, these programs offer another big benefit — reducing isolation.

That’s been true for Martinson’s clients, in Thetford.

She left Starr’s house after about an hour. She was going to follow up with his doctor, and offered to get his guitar restrung.

“I’ll bring my mandolin over and we can do some duets,” she said.

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Then, she was going to stop in to see an 89 year old down the road. She’d picked up asparagus from a nearby farmstand to bring her.

“Sometimes there are real medical needs, but more than anything you keep hearing about people who were isolated in rural Vermont — boy, are they isolated,” Martinson said.

“I think they just like to have people visit,” she said.

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Tourism Leaders To Gather In Killington For Vermont Tourism Summit

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Tourism Leaders To Gather In Killington For Vermont Tourism Summit


Tuesday, April 28-Wednesday, April 29 —KILLINGTON— The Killington Grand Resort Hotel & Conference Center will host the 41st Annual Vermont Tourism Summit, bringing together business owners, operators, and industry professionals from across the state for two days focused on collaboration, strategy, and growth within Vermont’s tourism economy.



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Vermont residents remain concerned over potential environmental provisions

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Vermont residents remain concerned over potential environmental provisions


This week, a bill that would make changes to Vermont’s Act 181 is receiving testimony in the House Committee on Environment. Certain provisions in Act 181 could trigger a permitting process through Vermont’s land use protection law, Act 250. A rule related to road building and some lands identified as “critical natural resource areas” by the state’s land use review board are expected to take effect this year. Last month, legislation passed the Senate and is currently in the House to push those deadlines back by a few years. For Corinth resident Neil Ryan, that not enough. “The group of people that was largely left out of the process: Rural Vermonters are having this imposed upon them with no say,” he said. Ryan and his family have built their own farms for generations. He believes if the provisions take effect, it would be very difficult for future generations to accomplish what he has. “The difficulty of the Act 250 process, the costs associated with the Act 250 process, we wouldn’t have started those farms likely,” he said. However, Ryan said he does support the portion of Act 181 that allows towns to opt into being exempt from the permitting process altogether. This is meant to assist housing development. On Tuesday, regional planning commissions told lawmakers that many towns have opted in. Still, Vermont is not on track for its goal of 40,000 + homes by 2030. “We’re not saying rural housing growth should stop or slow,” Executive Director of the Northwest RPC Catherine Dimitruk said. “Were saying those additional units that we need, we should be doing all we can to encourage and incentivize.”The bill will remain in House environment for the foreseeable future.

This week, a bill that would make changes to Vermont’s Act 181 is receiving testimony in the House Committee on Environment.

Certain provisions in Act 181 could trigger a permitting process through Vermont’s land use protection law, Act 250.

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A rule related to road building and some lands identified as “critical natural resource areas” by the state’s land use review board are expected to take effect this year.

Last month, legislation passed the Senate and is currently in the House to push those deadlines back by a few years. For Corinth resident Neil Ryan, that not enough.

“The group of people that was largely left out of the process: Rural Vermonters are having this imposed upon them with no say,” he said.

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Ryan and his family have built their own farms for generations. He believes if the provisions take effect, it would be very difficult for future generations to accomplish what he has.

“The difficulty of the Act 250 process, the costs associated with the Act 250 process, we wouldn’t have started those farms likely,” he said.

However, Ryan said he does support the portion of Act 181 that allows towns to opt into being exempt from the permitting process altogether. This is meant to assist housing development.

On Tuesday, regional planning commissions told lawmakers that many towns have opted in. Still, Vermont is not on track for its goal of 40,000 + homes by 2030.

“We’re not saying rural housing growth should stop or slow,” Executive Director of the Northwest RPC Catherine Dimitruk said. “Were saying those additional units that we need, we should be doing all we can to encourage and incentivize.”

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The bill will remain in House environment for the foreseeable future.



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Hour-by-hour: See when to expect steady snow Tuesday in Vermont, New York

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Hour-by-hour: See when to expect steady snow Tuesday in Vermont, New York


Roads will turn slippery mid-morning through mid-afternoon

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Hour-by-hour: See when to expect steady snow Tuesday in Vermont, New York

Roads will turn slippery mid-morning through mid-afternoon

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NBC5 meteorologists expect a burst of steady snow to arrive Tuesday morning in Vermont and northern New York, lasting through the early-mid afternoon. Deteriorating road conditions will lead to slow travel for several hours, with some improvement expected by the evening commute.Watch the video above to see the timeline for your area.

NBC5 meteorologists expect a burst of steady snow to arrive Tuesday morning in Vermont and northern New York, lasting through the early-mid afternoon.

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Deteriorating road conditions will lead to slow travel for several hours, with some improvement expected by the evening commute.

Watch the video above to see the timeline for your area.

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